Vision Plan - Human Resources at Ohio State

Vision Plan

COVID-19 Updates
See Employment-Related FAQs Specific to COVID-19 for updated benefits information.

Access to vision care for you and your family reflects Ohio State’s commitment to offering high-quality, affordable health plans. The Faculty and Staff Vision Plan provides you and your covered dependents with vision care services, such as eye exams, eyeglasses and contact lenses. You can choose between Basic and Premier Plan options, both of which are in the Vision Service Plan Choice Network.

Essential Medical Eye Care Services through December 31, 2020

Vision Service Plan (VSP) has expanded access to medical eye care services for VSP members and their covered dependents. It is effective through December 31, 2020. Members now have access to supplemental medical eye care for sudden vision changes, eye trauma, pink eye, foreign body removal or other symptoms that hamper day-to-day activities. Members can see a VSP network doctor in-person or remotely for supplemental eye care instead of visiting an urgent care center or emergency room. Members can also use their routine VSP coverage for lost or broken glasses or replacement contact lenses to meet immediate eyewear needs by contacting their VSP network doctor. Access to optometrists during this pandemic allows members to maintain health while easing the burden on primary care physicians and emergency rooms. Learn more with this flyer.

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Vision Plan Details

Effective Jan. 1 – Dec. 31, 2020

PDF Version

Benefit Basic Plan Coverage1 Premier Plan Coverage4
Description Copay Description Copay
WellVision Exam
  • Focuses on your eyes and overall wellness
  • Every calendar year
$0
  • Focuses on your eyes and overall wellness
  • Every calendar year
$0
Prescription Glasses Prescription Glasses $25 Prescription Glasses $25
Prescription Glasses: Frames
  • $155 allowance for a wide selection of frames
  • $175 allowance for featured frame brands
  • 20% savings on the amount over your allowance
  • Every other calendar year
Included in Prescription Glasses
  • $200 allowance for a wide selection of frames
  • $220 allowance for featured frame brands
  • 20% savings on the amount over your allowance
  • Every calendar year
Included in Prescription Glasses
Prescription Glasses: Lenses
  • Single vision, lined bifocal, and lined trifocal lenses
  • Impact-resistant lenses for dependent children
  • Every calendar year
Included in Prescription Glasses
  • Single vision, lined bifocal, and lined trifocal lenses
  • Impact-resistant lenses for dependent children
  • Every calendar year
Included in Prescription Glasses
Prescription Glasses: Lens Enhancements
  • Standard progressive lenses
  • Premium progressive lenses
  • Custom progressive lenses
  • Average savings of 20-25% on other lens enhancements
  • Every calendar year
$0
$95 – $105
$150 – $175
  • Standard progressive lenses
  • Premium progressive lenses
  • Custom progressive lenses
  • Average savings of 20-25% on other lens enhancements
  • Every calendar year
$0
$95 – $105
$150 – $175
Contacts (instead of lenses)
  • $130 allowance for contacts; copay does not apply
  • Contact lens exam (fitting and evaluation)
  • Every calendar year
Up to $60
  • $150 allowance for contacts; copay does not apply
  • Contact lens exam (fitting and evaluation)
  • Every calendar year
Up to $60
VSP EasyOptions (choose one of these upgrades) Not Applicable
  • An additional $50 frame allowance, or
  • Fully covered premium or custom progressive lenses, or
  • Fully covered light-reactive lenses, or
  • Fully covered anti-glare coating, or
  • An additional $50 contact lens allowance
  • Every calendar year
Included in Prescription Glasses
VSP Diabetic Eyecare Plus ProgramSM
  • Retinal screening for members with diabetes
  • Additional exams and services for members with diabetes, glaucoma, or age-related macular degeneration.Limitations and coordination with your medical coverage may apply. Ask your VSP doctor for details.
  • As needed
$0
$20 per exam
  • Retinal screening for members with diabetes
  • Additional exams and services for members with diabetes, glaucoma, or age-related macular degeneration.Limitations and coordination with your medical coverage may apply. Ask your VSP doctor for details.
  • As needed
$0
$20 per exam
Extra Savings Glasses and Sunglasses

  • Extra $20 to spend on featured frame brands. Go to vsp.com/specialoffers for details
  • 20% savings on additional glasses and sunglasses, including lens enhancements, from any VSP provider within 12 months of your last WellVision Exam

Routine Retinal Screening

  • No more than a $39 copay on routine retinal screening as an enhancement to a WellVision Exam

Laser Vision Correction

  • Average 15% savings on the regular price or 5% savings on the promotional price; discounts only available from contracted facilities
  • After surgery, use your frame allowance (if eligible) for sunglasses from any VSP doctor

1 with a VSP Provider
*Only available to VSP members with applicable plan benefits. Frame brands and promotions are subject to change. Savings based on doctor’s retail price and vary by plan and purchase selection; average savings determined after benefits are applied. Ask your VSP network doctor for more details.

YOUR COVERAGE WITH OUT-OF-NETWORK PROVIDERS
Get the most out of your benefits and greater savings with a VSP network doctor. Call Member Services for out-of-network plan details.

Coverage with a retail chain may be different or not apply. EasyOptions Plan Benefits are not available at Walmart or Costco. VSP guarantees coverage from VSP providers only. Coverage information is subject to change. In the event of a conflict between this information and your organization’s contract with VSP, the terms of the contract will prevail. Based on applicable laws, benefits may vary by location. In the state of Washington, VSP Vision Care, Inc., is the legal name of the corporation through which VSP does business.

The Faculty and Staff Vision Plan offers you a choice of network or non-network coverage when you seek vision services. You can perform a provider search by accessing VSP’s website.

If you use a VSP Choice network provider, no claim forms are necessary, simply tell them you are covered by VSP. Your vision provider should file claims directly with VSP, although you will be required to pay for your portion of the expenses at the time of service.

If you use a non-network provider the plan pays less for covered services than it does when you use a network provider. Your provider may require you to pay for services in full and be reimbursed from VSP by filing a claim.

The Premier Vision Plan includes EasyOptions, which allows you to personalize your coverage by choosing from a set of enhancements available for your glasses or contact lenses at the time you use your benefit.

On occasion, your vision care provider may identify a condition that is medical in nature.  If this happens, the claim will be covered in part or totally by your medical insurance and all rules of your medical insurance will apply.  In order to receive the maximum benefit, use a provider in your medical plan network.

DEP Plus covers certain services that relate to type 1 or type 2 diabetes. DEP Plus is intended to supplement your group medical plan. For services provided in connection with DEP Plus, providers will first submit a claim to your group medical plan, and then to VSP. Any amounts not paid by the medical plan will be considered for payment by VSP. If you do not have a group medical plan, providers will submit claims directly to VSP.

As a VSP® member, all Ohio State employees and their dependents enrolled in the vision plan will have access to an exclusive $50 Nike glasses rebate when they purchase a Nike frame and pair it with Unity® Digital lenses in 2020. Visit vsp.com to find a VSP network doctor that carries Nike frames.  More information can be found at vsprebates.com/OSU.

Vision Plan FAQ

 

This is intended to be an overview.  Refer to the Plan Document for complete information.  In the event the information on these pages differs from the Plan Document, the Plan Document will govern.